Role of bicolumnar plating by extensor mechanism sparing paratricipital approach in adult distal humerus trauma
Journal Title: Medpulse International Journal of Orthopedics - Year 2019, Vol 10, Issue 3
Abstract
Background: Distal articular humerus fractures are preferably treated by open reduction and internal fixation. To avoid the complications of olecranon osteotomy approach an extensor mechanism sparing paratricipital posterior approach to distal humerus through midline posterior incision is advised.Aim: To evaluate the role of bicolumnar plating by extensor mechanism sparing paratricipital approach in adult distal humerus trauma.Material and Methods: In this prospective study, 30 patients with distal end humerus fracture were treated with open reduction and internal fixation with bicolumnar plating by extensor mechanism sparing paratricipital approach were studied for outcome.Results: At the end of 6 month follow up as per Mayo Elbow Performance Score, we found excellent result in 26 patients, Good result in 3 patient and Fair result in 1 patient. Using Mayo elbow score we had more than 96% excellent to good results with mean score of 95.46. We did not have any poor results at the end of 6 month follow up.Conclusion:Bicolumnar Plating by Extensor Mechanism sparing paratricipital approach gives better functional range of motion and therefore better functional outcome and fewer complications.
Authors and Affiliations
Rajesh K Ambulgekar, Kapil R Saoji
Keywords
Related Articles
- EP ID EP617267
- DOI 10.26611/10201033
- Views 46
- Downloads 0
Short term clinical outcome in mid shaft femur fractures using intramedullary nail
Background: Kuntscher was the first to introduce the concept of intramedullary nailing, later there were modifications in intramedullary nailing and for the first time Klemm and Schelmann, Grosse and Kempt and Russel Tay...
Comparative study of outcomes in communited extracapsular fractures of hip treated with cemented bipolar arthroplasty and dynamic hip screw techniques
Background: Injuries like inter trochantric factures is a common problem in the elderly. The management of communited intertrochanteric fracture is challenging because of excessive collapse, loss of fixation and cut off...
Fracture neck of femur treated with Austin Moore prosthesis - 10 year follow up
Background: Unipolar hemiarthroplasty still better than bipolar hemiarthroplasty in terms of range of motion, daily activities in Indian rural population. Minimum age of the patient is 60 years. AMP also has some advanta...
A comparative study of conservative functional treatment versus acute ligamentous repair in simple dislocation of the elbow at tertiary health care center
Background: The anatomy of the elbow is complex. Sufficient stability is essential to elbow functionality and is provided by soft tissue structures as well as bony structures. Aims and Objectives: To study conservative f...
Functional outcome of tibial plateau fractures: A prospective study
Background: Knee is commonly injured joint now a day because of increased vehicular trauma and sports activities. We started our study using different methods for treatment of these fractures and studied the effectivenes...